Temporomandibular Joint Disorders in Older Adults

Yadav, Sumit; Yang, Y. Tony; Dutra, Eliane H; Robinson, Jennifer L.; Wadhwa, Sunil

doi:10.1111/jgs.15354

Cited by 99 publications

(125 citation statements)

References 60 publications

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“…26.5% [11]. In the age group of students, the incidence of TMD was within the range from 15-68.6% [12][13][14][15][16][17], and in the group of adults it wa estimated at between 15-50.5% [18][19]. The incidence of TMD in psoriasis patients is approx.…”

Section: Discussionmentioning

confidence: 99%

Assessment of the incidence of temporomandibular disorders in patients diagnosed with psoriasis

Stodółkiewicz

Turska

Szkutnik

et al. 2019

J Pre Clin Clin Res.

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Introduction and objective. Temporomandibular disorders (TMD) are currently among the most commonly diagnosed disorders of the stomatognathic system. They are related to the overall condition of temporomandibular joints (TMJ). In recent years, there have been an increasing number of reports related to clinical patients suffering from stomatognathic disorders accompanying psoriasis. The aim of the study is to assess the incidence and identify the types of temporomandibular disorders in patients diagnosed with psoriasis. Materials and method. The study was conducted in a group of 64 patients (32 men and 32 women) treated for psoriasis at the Med-Laser Non-Public Health Care Centre in Lublin. The study was conducted in two stages. The first stage entailed the use of a normalised questionnaire in which the patients were surveyed regarding the incidence of TMD symptoms. The survey questions were prepared on the basis of the Research Diagnostic Criteria for Temporomandibular Disorders (RDC/ TMD). The second stage entailed the performance of clinical examinations in accordance with the RDC/TMD classification guidelines. Results. The survey revealed that over 1/3 of the subjects experienced at least one type of TMJ disfunction included in the RDC/TMC questionnaire. Conclusions. Psoriasis patients are most often classified into class IIa TMD according to RDC / TMD diagnoses. For this reason, patients reporting such symptoms should be referred for full diagnostic stomatological examination for the possible presence of temporomandibular disorders. The inclusion of screening for TMD symptoms should be considered in patients treated for psoriasis.

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Section: Discussionmentioning

confidence: 99%

Assessment of the incidence of temporomandibular disorders in patients diagnosed with psoriasis

Stodółkiewicz

Turska

Szkutnik

et al. 2019

J Pre Clin Clin Res.

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“…The prevalence of pain in the TMJ and masticatory muscles is relatively low (around 2-7%). Emergency cases in oral surgery are mostly consequences of odontogenic complications and soft tissue injuries (33.94% and 22.54% respectively), whereas TMJ disorders and trigeminal neuralgia account for less than 2% (1.63% and 1.34% respectively) ( 2 , 25 , 26 ).…”

Section: Discussionmentioning

confidence: 99%

Orofacial pain – diagnostic and therapeutic challenges

Badel

Zadravec

Kes

et al. 2019

ACC

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The concept of diagnostics and therapy of musculoskeletal and neuropathic diseases of the stomatognathic system, which are the subject of this paper, has been developing for decades. It can be said that in order to avoid misunderstanding, the orofacial pain as a clinical problem, in the narrower sense, involves non-odontogenic and non-malignant causes of orofacial region. In this study, the results of clinical diagnosis of the population of 557 consecutive patients with orofacial pain based on multidisciplinary diagnostics were evaluated. 15.6% of patients have given up on the participation in the study. It has been shown that the patients who dropped out of the study were significantly older (p=0.0411) than those who agreed to participate, but there was no difference in gender ratio (p=0.185) since the proportion of female patients prevailed. In an analysis of 84.4% of patients participating in the study, the elevated anxiety values were established (mean value on STAI 1 was 39.2 and STAI 2 was 41.1) and statistical significance was found in correlation between elevated anxiety and intensity of pain as shown on visual analogue scale on open mouth (p<0.0001). Compared to the age, the statistical significance was for STAI 1 (p=0.0097) but not for STAI 2 (p=0.5599). The most common form of therapy is Michigan stabilization splint: for disc displacement of temporomandibular joint (TMJ) in 38.9% of patients and in combination with physiotherapy in 18.7% of patients; for osteoarthritis of TMJ in 28.4% and in combination with physiotherapy in 26.4% of patients. The treatment with anticonvulsant drugs for trigeminal neuralgia predominates in 54.3% of patients, which is combined with acupuncture in 25.7% of patients and only acupuncture in 17.1% of patients. In this study, a multidisciplinary cooperation in initial diagnostics and differential was designed to develop subspecialist knowledge on orofacial pain.

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“…We considered signs and symptoms of the craniomandibular system as confounders, leading to higher variability of data. Risk factors as articular disc displacement and degenerative joint disease become more likely with increasing age 12–14 . In regard of TMD, young adulthood lends itself to assess asymptomatic physiological conditions for permissible generalisation of experimental outcomes.…”

Section: Discussionmentioning

confidence: 99%

Estimated functional space of centric condyle positions in temporomandibular joints of asymptomatic individuals using MRI

Čelar

Gahleitner

Lettner

et al. 2019

Sci Rep

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Magnetic resonance imaging (MRI) studies on centric condyle positions lack 3D comparisons of guided and unguided methods, which are used for accomplishing centric relation reference positions. The purpose of this study was to describe the space, in which mandibular condyles are placed in vivo by dental intercuspation, Dawson’s bimanual manipulation, and neuromuscular position. Twenty asymptomatic individuals aged 23 to 37 years underwent separate bite registrations using bimanual manipulation and the unguided neuromuscular technique. Subsequent 3-Tesla MRI scans of both temporomandibular joints yielded 3D data of the most superior condylar points at maximum intercuspation and both centric relation positions. We found concentric condyle positions in maximum intercuspation but considerable variation of condyle position after bimanual manipulation and neuromuscular technique. Their 95% predictive confidence ellipses overlapped substantially and created a space of reference positions. Its smallest volume averaged 2 mm3 for a minimal convex hull (95% confidence interval 1.1–3.2) and 3.5 mm3 for a minimal ellipsoid hull (95% confidence interval 1.8–5.4). Visualized in vivo by MRI, condyle positions at bimanual manipulation and neuromuscular position were not predictable and showed substantial variation in asymptomatic subjects. Clinicians should be aware of the functional space and its effect on dental intercuspation.

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Temporomandibular Joint Disorders in Older Adults

Abstract: Most older adults have TMJ degeneration, which affects women more than men. In most older adults, the symptoms of TMD are mild and self-limiting and can usually be treated with self management.

Cited by 99 publications

References 60 publications

Assessment of the incidence of temporomandibular disorders in patients diagnosed with psoriasis

Assessment of the incidence of temporomandibular disorders in patients diagnosed with psoriasis

Orofacial pain – diagnostic and therapeutic challenges

Estimated functional space of centric condyle positions in temporomandibular joints of asymptomatic individuals using MRI

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